Inspired Birth Series Enrollment Agreement
Thank you for choosing Inspired Birth for your childbirth preparation classes. This program is a comprehensive series that will primarily focus on natural childbirth. We trust that the many benefits that this program offers will help you to achieve the very best possible birth for your family. We look forward to working with you to provide you with the information you need to achieve the birth you desire.
This series includes 3 classes that last between 2 to 3 hours each. This series will be held via Zoom online until further notice per County, State and Federal recommendations. Important topics that we will cover include but are not limited to: Breathing, Fear, Anxiety and Relaxation in Birth, Female Anatomy for Birth, Pelvic floor health and strengthening, Labor Coping Techniques, Partner Support Techniques, Comfort Measures for Labor, Medical Interventions and Pain Relief Options, Birth Plans (if applicable).
Your class series will be completed per the time and date scheduling listed above. Your instructor must be notified of any exceptions to this arrangement, i.e.: illness, scheduling conflicts, childcare difficulties, etc., no later than 2 hours prior to your scheduled class. Likewise, your instructor will notify you of any scheduling conflicts no later than 2 hours prior to your meeting as well.
The cost for this Inspired Birth series is $250. A non-refundable deposit is required at the time of your registration to reserve your space in the class. The $200 final payment will be due by the first day of your series. An invoice for the final payment will be sent to the email listed above, unless previous arrangements are made. Refunds are not typically given and will be at the discretion of your instructor.
I hereby state that I am enrolling in the Inspired Birth Class Series of my own free will and with the understanding that this is a program designed to teach me the important information I will need for myself and my partner to advocate for our family during our birth experience. This class will also help to enable me to use my own natural abilities to bring my mind and my body into a state of relaxation for labor coping. I further understand that the content of these classes is in no way intended to be represented neither as medical advice nor as a prescription for medical procedure. I am aware that I should seek the advice of a health-care provider to answer any health-related or pregnancy-related issues surrounding my pregnancy, my labor, or my birth.
I therefore agree that I will in no way hold the instructor of the Inspired Birth Series, its owner, or its representatives responsible for any special circumstances that could arise as a result of my pregnancy, my labor, or the birth of my child; and I agree that neither I nor any member of my family will make any claim or initiate any suit against any of the above-named parties now or at any time in the future.
This agreement is being signed via JotForm and you will be emailed a copy of your agreement when you sign. Please let your instructor know of any questions you might have at any point in your series or after.
Email address: email@example.com.
Your Inspired Birth Instructor is: Tracie Lynch
All rights reserved. Inspired Birth. Copyright January 2014. San Jose, CA